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The plan produced last year, said future funding to link co-ops and NHS Direct would be routed through local health boards, which would commission out-of-hours services. But no funding has been allocated so far.

In two pilot programmes where NHS Direct Wales took calls routed from co-ops in Gwynedd and Gwent, home visit rates have falled by one third.

Dr Jones said that nurses at the pilot involving Gwent

Urgent Primary Care have dealt with 35 per cent of calls without the need to involve GPs .